ATI RN
ATI RN Maternal Newborn level 3 Final Exam 2023 (All Correct Answers). Maternal-Child Nursing Questions
Question 1 of 5
A nurse is caring for a newborn who is 6 hr old and has a bedside glucometer reading of 65 mg/ dL. The newborn’s mother has type 2 diabetes mellitus. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Feed the newborn immediately. Newborns of diabetic mothers are at risk for hypoglycemia due to fetal hyperinsulinemia. A bedside glucometer reading of 65 mg/dL in a 6-hour-old newborn indicates hypoglycemia. Immediate feeding with breast milk or formula is the initial treatment for neonatal hypoglycemia as it helps increase blood glucose levels. This helps prevent further complications such as seizures and brain damage. Options A, C, and D are incorrect:
A) Obtaining a blood sample for a serum glucose level delays immediate intervention,
C) Administering dextrose IV should be reserved for severe hypoglycemia, and
D) Reassessing blood glucose level before feeding delays necessary treatment.
Question 2 of 5
A nurse on postpartum unit caring for four clients. Which of the following clients should receive Rh, (D) Immune globulin to prevent Rh- is immunization?
Correct Answer: A
Rationale: The correct answer is A. When an Rh-negative mother has an Rh-positive infant, there is a risk of sensitization if fetal blood mixes with maternal blood during delivery. Rh(
D) Immune globulin is given to prevent this sensitization by destroying any fetal Rh-positive red blood cells that may have entered the maternal circulation. This prevents the mother from forming antibodies against Rh-positive blood in subsequent pregnancies.
Choices B, C, and D are incorrect because they do not present a risk of sensitization. In choice B, an Rh-positive mother with an Rh-negative infant does not require Rh(
D) Immune globulin. In choice C, an Rh-positive mother with an Rh-positive infant does not require Rh(
D) Immune globulin. In choice D, an Rh-negative mother with an Rh-negative infant does not require Rh(
D) Immune globulin as there is no risk of sensitization in this scenario.
Question 3 of 5
A nurse is providing discharge teaching to a new parent about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because positioning the baby's car seat at a 45-degree angle in the car helps prevent the baby's head from flopping forward and potentially obstructing the airway, ensuring optimal safety.
Choice B is incorrect because it doesn't specify the recommended weight limit for rear-facing seats, which is typically until the baby reaches 20-35 pounds.
Choice C is incorrect as the harness should be positioned at or below the baby's shoulders, not above.
Choice D is incorrect because the retainer clip should be positioned at armpit level, not at the top of the baby's abdomen.
Question 4 of 5
A nurse is reviewing the electronic medical record of a postpartum client. The nurse should identify that which of the following factors paces the client at risk for infection.
Correct Answer: C
Rationale: The correct answer is C: Midline episiotomy. A midline episiotomy is a surgical incision made during childbirth that increases the risk of infection due to the proximity to the anus and rectum. The incision site is more prone to contamination from fecal matter, leading to a higher risk of infection. Placenta previa (
B) is a condition where the placenta partially or fully covers the cervix, which can lead to bleeding but not necessarily infection. Meconium-stained amniotic fluid (
A) can indicate fetal distress but does not directly increase the risk of infection. Prolonged labor (
D) can increase the risk of infection due to prolonged exposure to bacteria, but it is not as direct a risk factor as a midline episiotomy.
Question 5 of 5
A nurse is assessing a full-term newborn upon admission to the nursery. Which of the following clinical findings should the nurse report to the provider?
Correct Answer: B
Rationale: The correct answer is B: Single palmar creases. This finding may indicate the presence of Down syndrome or other chromosomal abnormalities. It is important to report this to the provider for further evaluation and testing. Transient circumoral cyanosis is common in newborns and usually resolves on its own. Subconjunctival hemorrhage is also common and typically resolves without treatment. Rust-stained urine may result from urate crystals and is normal in newborns within the first few days of life. It is not a cause for concern and does not require immediate reporting to the provider.